NPI | 1871791525 |
---|---|
Entity Type | Organization |
Authorized Contact | GUSTAVO RELOBA Administrator 305-386-5043 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10615) |
Enumeration Date | 2007-07-04 |
Last Update Date | 2020-08-22 |